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NC Medicaid has changed the start date for Tailored Plans to October 1, 2023. Until then people will keep getting services the way they do now.

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Suicide Prevention

This page includes risk factors and warning signs of suicide, and a variety of suicide prevention resources. If you or someone you know is considering suicide, please reach out for help.

Gen X woman looking down

Risk Factors and Warning Signs

Risk Factors

  • Separation or divorce, widowhood
  • Prior suicidal thoughts
  • Terminal illness or chronic pain
  • Parental history of:
    • Violence
    • Addiction (drugs or alcohol)
    • Hospitalization for major psychiatric disorder
    • Divorce
  • History of:
    • Suicide or suicidal behavior in family
    • Trauma or abuse (physical or sexual)
    • Psychiatric hospitalization
    • Violent behaviors
    • Impulsive/reckless behaviors
    • Self-harm behavior
    • Suicide attempts (especially if repeated)

Warning Signs

  • Appearing depressed or sad most of the time – untreated depression is the number one cause of suicide
  • Talking or writing about death or suicide
  • Withdrawing/isolating from family and friends
  • Feeling hopeless or helpless
  • Feeling strong anger or rage
  • Feeling trapped – like there is no way out of a situation
  • Experiencing dramatic mood changes
  • Using drugs or alcohol
  • Acting impulsively or recklessly
  • Losing interest in most activities
  • Experiencing a change in eating or sleeping habits
  • Performing poorly at work or in school
  • Giving away prized possessions
  • Writing a will
  • Feeling excessive guilt or shame
  • Feeling self-loathing or self-hatred
  • Making unexpected/unusual goodbyes

Telephone and Other Resources

Alliance Behavioral Health Crisis Line: 877-223-4617
Connect with behavioral health and IDD services and crisis help. Available 24 hours a day, 7 days a week and always answered by a qualified professional or clinician.

Other resources available 24 hours a day, 7 days a week:

 988 Suicide and Crisis Lifeline: Call, text, or chat 988 (resources for the deaf and hard of hearing)

National Crisis Text Line: text “HOME” to 741741

IMAlive Online Crisis Chat:

Veterans Crisis Line: 800-273-8255, press 1 or text 838255

The Trevor Project: 866-488-7386 or
LGBTQ youth suicide hotline

Trans Lifeline: 877-565-8860 or
Transgender crisis hotline

Additional resources:

Suicide Prevention and Statistics: 202-237-2280 or

Promise Resource Network: 704-390-7709 or

Reporting Suicidal Content Threats on Facebook:

School-based Peer-to-Peer Suicide Prevention program:

This page was last reviewed for accuracy on 03/17/2022